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Exam (elaborations)

HESI RN Exit Exam V1-V7 – Nursing School USA – Complete Practice Questions with Rationales

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This document provides a comprehensive compilation of practice questions and rationales for the HESI RN Exit Exam, covering Versions 1 through 7. It includes realistic exam-style questions with detailed explanations to help nursing students prepare effectively for the HESI Exit Exam. The material is ideal for last-phase revision and aligns closely with NCLEX-style questioning.

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Uploaded on
May 5, 2025
Number of pages
13
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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HESI RN Exit Exam V1-V7 Description


Ace Your Exams with This High-Yield Nursing
Review
Master Key Concepts and Clinical Priorities with These Concise Study Points.
Perfect for focused review and exam preparation

1. Duodenal Ulcer Management:

 Key Point: Clients with duodenal ulcers should avoid milk and cream.
These substances, while initially soothing, stimulate acid production,
exacerbating ulceration.

2. Hypertension Complications:

 Critical Concept: Elevated blood pressure significantly increases the risk
of stroke. Understanding this link is vital for client education and
management.

3. Seizure Precautions:

 Safety Priority: For clients with seizure disorders, the Unlicensed Assistive
Personnel (UAP) should secure side rails with blankets to prevent injury
during a seizure.

4. Major Depressive Disorder - Red Flag:

 Urgent Assessment: A client describing their life as purposeless requires
immediate follow-up due to the heightened risk of suicidal ideation.

5. Ovarian Cancer Screening:

 Important Consideration: A negative Pap smear does not rule out
ovarian cancer and may still necessitate further surgical evaluation based
on other clinical findings.

6. Tracheostomy Home Care:

,  Essential Teaching: Prior to discharge, clients with a tracheostomy must be
thoroughly taught tracheal suctioning techniques to maintain a patent
airway.

7. Partial Rebreather Mask Assessment:

 Accurate Documentation: Note findings such as the bag not deflating
fully (indicating adequate oxygen delivery) alongside a normal respiratory
rate.

8. EKG Monitoring Alarm - Initial Response:

 Prioritize Airway: When an EKG monitor alarms for respiratory apnea,
this should be investigated first as it poses an immediate threat to the
client's well-being.

9. Elderly Fall Assessment:

 Immediate Action: After an elderly client falls, the nurse's first check
should be for lacerations or fractures to address immediate physical
injuries.

10. Pre-C-Section Considerations: - Anesthesia Implications: Inform the
anesthesia care provider about the client's coffee intake prior to a Cesarean
section, as caffeine can interact with anesthesia.

11. Heart Auscultation Technique: - Specific Sound Detection: Use the bell of
the stethoscope to best listen for the low-pitched S3 heart sound, often indicative
of heart failure.

12. Health Insurance Guidance for Retirees: - Appropriate Referral: Refer a
retiring client to Medicare to address their post-retirement health insurance
needs.

13. Tetracycline Administration Teaching: - Medication Interaction: Instruct
the client to avoid taking tetracycline with toasted wheat bread and jelly due to
potential interactions with calcium and iron that can reduce absorption.

14. Post-Lumbar Puncture Complication: - Indicative Sign: A headache that
worsens when sitting up after a lumbar puncture suggests a cerebrospinal fluid
(CSF) leak, a potential complication.

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